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Retinal Complications Associated With Pars Plana Vitrectomy for Macular Holes or Epiretinal Membranes in Eyes With Previous Retinal Detachment Repair

Ravi S. J. Singh, MD1; Douglas J. Covert, MD, MPH1; Christopher R. Henry, MD2; Sandeep K. Bhatia, MD1; Jason Croskrey, BS1; Cecilia R. Sanchez, MD1; Dennis P. Han, MD1
[+] Author Affiliations
1Department of Ophthalmology, Medical College of Wisconsin, Milwaukee
2Bascom Palmer Eye Institute, Miami, Florida
JAMA Ophthalmol. 2014;132(1):118-119. doi:10.1001/jamaophthalmol.2013.5698.
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Pars plana vitrectomy (PPV) is associated with risk of intraoperative retinal tears (RTs) and postoperative rhegmatogenous retinal detachment (RRD). Eyes undergoing RRD repair are at higher risk for developing subsequent epiretinal membranes (ERMs) that may compromise vision.1,2 For cannulated surgery as compared with standard 20-gauge PPV, we previously reported markedly lower of risk of intraoperative RT (3.3% vs 23.0%, respectively) and a trend toward reduced risk of postoperative RD (2.8% vs 5.9%, respectively).3 However, in eyes with previous RRD repair, risks of these events are not well documented. Therefore, we evaluated eyes with previous RRD repair undergoing PPV for ERMs or macular holes (MHs) and compared them with eyes without prior RRD.

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